Transcatheter technique now standard for Secundum ASD Closure, A case report of our first experience

Abstract

DOI: http://dx.doi.org/10.3329/pulse.v4i1.6963Pulse Vol.4 January 2010 p.32-33

Transcatheter closure of secundum atrial septal defect in adults: report of our first experience in a developing country

“…It is characterized by a defect in the interatrial septum, allowing pulmonary venous return to pass directly from the left atrium (LA) to the right atrium (RA). 1 Cardiac sequelae depends on the size of the shunt and associated anomalies, which can range from no sequelae to right sided volume overload, pulmonary artery hypertension, and atrial arrhythmias. 2 The traditional method of closure has been surgical, which has been practiced for more than 50 years, with expectations now reaching zero mortality.…”

“…2 The traditional method of closure has been surgical, which has been practiced for more than 50 years, with expectations now reaching zero mortality. 1 Recently, the development of catheter-based technology has made device closure the first option for closure of ostium secundum ASD. 1 The first report on device closure of ASD was in 1976 by King et al 3 It has the advantage of saving the patient from open heart surgery and cardiopulmonary bypass and allowing a shorter hospital stay and faster rehabilitation.…”

“…1 Recently, the development of catheter-based technology has made device closure the first option for closure of ostium secundum ASD. 1 The first report on device closure of ASD was in 1976 by King et al 3 It has the advantage of saving the patient from open heart surgery and cardiopulmonary bypass and allowing a shorter hospital stay and faster rehabilitation. 4 This mode of therapy has gained wide acceptance worldwide and is routine in many countries including some centers in Africa, but before the cases presented here, it had never been performed in Nigeria.…”

“…More recently the development of catheter-based technology has advanced device occlusion as the first option for the closure of ostium secundum ASDs. 1 This mode of therapy appears now to be widely accepted based on the obvious advantage of saving the patient from open heart surgery and cardiopulmonary bypass and allowing subsequent faster rehabilitation. 4 Catheter-based closure is now considered the first-line treatment strategy for secundum ASDs.…”

“…1 In the attempt to minimize operative morbidity, practice has moved to a less invasive surgical approach, including minimal skin incisions, reduced opening of the thoracic cage, and alternative vascular access sites. More recently the development of catheter-based technology has advanced device occlusion as the first option for the closure of ostium secundum ASDs.…”